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General NPI Number Information
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NPI Number | 1629199187
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Entity Type | Organization
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Legal Business Name | SMITHGALL PHARMACY
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 536 W LEMON ST
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City | LANCASTER
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State | PA
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Zip | 17603-3323
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Country | US
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Telephone | 717-397-6218
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Fax | 717-392-4433
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Provider Business Mailing Address
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Address Line | 536 W LEMON ST
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City | LANCASTER
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State | PA
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Zip | 17603-3323
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES SMITHGALL
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Credential |
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Telephone | 717-397-6218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP412322L
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License Number State | PA
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